Individual provider Active NPI

Carla F Hickey, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Palm Harbor, FL
National Provider Identifier
1508016221
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AY1913 Issued in FL
Practice address
36318 US 19 N
Palm Harbor, FL 34684-1328
Phone
(727) 842-8838
Fax
(727) 842-8838
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AY1913 FL Primary

Addresses

Primary practice location

36318 US 19 N
Palm Harbor, FL 34684-1328

Mailing address

215 Shuman Blvd
Ste 401
Naperville, IL 60563-8458
Phone (630) 303-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1913FLMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients
Hearusa Inc Audiologist-Hearing Aid Fitter Past Accepting new patients
Connect Hearing, Inc Audiologist-Hearing Aid Fitter Past Accepting new patients
Connect Hearing, Inc. Audiologist-Hearing Aid Fitter Past Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1508016221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SHUMAN BLVD",
            "address_2": "STE 401",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638458",
            "telephone_number": "630-303-5380",
            "fax_number": "978-313-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36318 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841328",
            "telephone_number": "727-842-8838",
            "fax_number": "727-842-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "CARLA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.